Ghs eyelid foreign body-embedded - bil at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,117.35
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,719.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$137.93 with Clear Spring Health vs $4,545.00 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Clear Spring Health | ALL PRODUCTS | $137.93 | ↓ -88% |
| OPTUM | Managed Medicaid | $169.69 | ↓ -85% |
| Molina | Florida Kidcare | $178.62 | ↓ -84% |
| MOLINA | Florida KidCare | $178.62 | ↓ -84% |
| AMERIHEALTH | Managed Medicaid | $178.62 | ↓ -84% |
| Carelon BH Strategies | Managed Medicaid | $178.62 | ↓ -84% |
| SUNSHINE HEALTH | Managed Medicaid | $178.62 | ↓ -84% |
| Medicaid | Managed Medicaid | $178.62 | ↓ -84% |
| Wellcare | Managed Medicaid | $178.62 | ↓ -84% |
| MOLINA | Managed Medicaid | $187.55 | ↓ -83% |
| AETNA | Managed Medicaid/CHIP | $196.48 | ↓ -82% |
| Independent Living Systems | Managed Medicaid | $214.34 | ↓ -81% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $300.06 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $300.06 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $300.06 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $300.06 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $300.06 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $300.06 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $300.06 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $312.06 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $315.06 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $331.46 | ↓ -70% |
| Wellcare | MEDICARE ADVANTAGE | $331.46 | ↓ -70% |
| WellMed | MEDICARE ADVANTAGE | $331.46 | ↓ -70% |
| DEVOTED HEALTH | Medicare Advantage HMO | $364.61 | ↓ -67% |
| CIGNA | Individual Family Plan | $441.78 | ↓ -60% |
| AVMED | EXCHANGE | $471.09 | ↓ -58% |
| AVMED | Select | $528.11 | ↓ -53% |
| CIGNA | SUREFIT | $532.89 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $546.64 | ↓ -51% |
| AETNA | QHP | $554.00 | ↓ -50% |
| AVMED | BROAD | $687.14 | ↓ -39% |
| UNITED | NHP | $850.00 | ↓ -24% |
| BMI | ALL PRODUCTS | $859.50 | ↓ -23% |
| AETNA | ALL PRODUCTS | $874.00 | ↓ -22% |
| MAGELLAN | ALL PRODUCTS | $1,031.40 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $1,117.35 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $1,117.35 | ↑ +0% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↑ +3% |
| UNITED | International | $1,151.00 | ↑ +3% |
| Consociate Health | ALL PRODUCTS | $1,289.25 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $1,375.20 | ↑ +23% |
| AETNA | All Products First Health | $1,375.20 | ↑ +23% |
| BLUE CROSS | BSL | $2,784.00 | ↑ +149% |
| BLUE CROSS | HMO | $2,784.00 | ↑ +149% |
| BLUE CROSS | NWBI | $3,679.00 | ↑ +229% |
| BLUE CROSS | NWB | $3,679.00 | ↑ +229% |
| BLUE CROSS | PHS | $4,545.00 | ↑ +307% |
| BLUE CROSS | PPO | $4,545.00 | ↑ +307% |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ghs eyelid foreign body-embedded - bil at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $387.99 | not published |
| Adventhealth Tampa | Tampa | $969.30 | not published |
| cleveland clinic florida weston hospital | Weston | $1,117.35 | $55.89 – $1,461.15 |
| martin north hospital | Stuart | $1,117.35 | $134.10 – $1,289.25 |
| Boca Raton Regional Hospital | BOCA RATON | $720.20 | $325.51 – $1,108.00 |
| Adventhealth Waterman | Tavares | $593.21 | not published |
| AdventHealth Orlando | Orlando | $988.00 | $331.46 – $878.37 |
| Adventhealth Riverview | Riverview | $969.30 | not published |